| NPI | 1922640234 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 723018) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL 9507239) |
| Enumeration Date | 2019-10-09 |
| Last Update Date | 2019-10-09 |